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Cirugía paraguaya
On-line version ISSN 2307-0420
Abstract
ADORNO-GARAYO, Carlos Rene; CABRERA-MACIEL, Ruth Elizabeth; GONZALEZ-VAZQUEZ, José Manuel and FERREIRA-BOGADO, Miguel. Management of Cholecystocholedocholithiasis in a single stage with the rendez-vous procedure. Hospital Nacional de Itauguá. Cir. parag. [online]. 2020, vol.44, n.3, pp.25-30. ISSN 2307-0420. https://doi.org/10.18004/sopaci.2020.diciembre.25.
We describe our initial experience with the use of the single-stage laparoendoscopic method ¨RENDEZ-VOUS¨ in the management of patients with gallstones and suspected choledocholithiasis.
Objective:
To describe the success rate, complications, and hospital stay with the Rendez vous method.
Methodology:
The Rendez-vous method was applied in 12 patients who were admitted with the diagnoses of gallstones and suspected choledocholithiasis, selected from a non-probabilistic sampling of consecutive cases with a sample of 25 patients who met the inclusion criteria.
Result:
Intraoperative cholangiography was performed in 25 patients, the presence of choledocholithiasis was confirmed in 14 patients (56%), and the successful removal of bile duct stones was achieved in 12 patients (48%) through endoscopic retrograde cholangiography. selective on guide with loop for Rendez-vous by transcystic way. No cases of post-procedure pancreatitis or cases of residual choledochal lithiasis were reported in 6 months of follow-up. The mean hospital stay was 5.8 days and the postoperative stay was 1.2 days.
Conclusion:
The Rendez-vous method is presented as a minimally invasive therapeutic alternative to other types of treatments for choledochal lithiasis.
Keywords : Rendez-vous; choledocholithiasis; gallstones; Endoscopic retrograde cholangiography; bile duct lithiasis.
